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在患有创伤的患者中,自杀的风险

Anders Rasmussen1,2,3, Trond Nordseth4,5,6,7, Jo Steinson Stenehjem8,9

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严重受伤的患者在出院后面临自杀的风险明显更高. 这项研究发现,创伤幸存者在2年内自杀的风险增加了9倍,这凸显了持续心理健康支持的需要.

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科学领域:

  • 创伤外科 手术 创伤外科
  • 公共卫生 公共卫生
  • 流行病学 流行病学

背景情况:

  • 以前的研究表明,在重伤患者中,退院后自杀风险增加.
  • 现有的研究往往缺乏关于并发症和社会经济因素的全面数据,这限制了对这种风险的理解.

研究的目的:

  • 调查因创伤而住院的个人中全国自杀的风险.

主要方法:

  • 一项全国性的基于登记的队列研究利用了挪威健康登记册 (2014-2020) 的数据.
  • 创伤患者 (N=25536) 与一般人群对照 (N=247095) 匹配了1:10.
  • 随访延长了至少两年,并进行了相关疾病和社会经济地位的调整.

主要成果:

  • 与对照组相比,创伤患者在2年内自杀的累积发病率 (CIR) 增加了9倍 (CIR,9.3).
  • 自杀发生率在创伤患者中较高 (2年后0.18%) 与对照组 (0.02%在2年后).
  • 与女性对照组相比,女性创伤患者的自杀率较高 (36%对17%).

结论:

  • 由于创伤而住院治疗与自杀风险大幅增加有关.
  • 这些发现强调了心理支持和对创伤幸存者的随访的重要性.
  • 对这一群体中具体的自杀预防风险因素和干预措施的进一步研究是有必要的.